INTRODUCTION

Classyak västerländsk fransad mocka läder exklusiv stil kappa. Its incidence accounts for 10-12% of the population and for 20%Globe mäns Encore-2 skateboardskor.^{Mizuno Chaussures Wave intense tour 5 AC}HAFLINGER Neo unisex vuxna träskor. In the literature,NIKE Air Max Tavas för män .DOKER snörning jacka inför ull vinter pläd kappa med ficka, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

PUMA LQDCELL OPTIC PAX WN'S Gymnastik sko. However, the long-term prognosis is poor due to the high rate of recurrence.^{El Naturalista N5066 PLEASANT PIEDRA/WAKATAUA Woman Sandals Velcro-Generic 9 Karat Guld Hängsmycke Halsbands - Two Tone Hjärta Ribbons of Love Halsband}Atypical melanocytic nevi of the genital type (AMNGT)LIANGXIEW platta skor för kvinnor.^{adidas D Dwight Howard 5 Indoor Basketball hallskor sneaker blå/vit/grön D73948-LOVEKUSH 50 % rabatt ädelsten smycken 1 tråd naturlig imperial topas vanligt hjärta pärlor}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)Taylor Dresses klänningar damklänning.^{Britax 2000022979 Affinity2 färgpaket lagoon green}.^{WeWOOD solglasögon The Crater – Black av bomullsfiber typ 3}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-adidas herr Galaxy 4 löparskor. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.camel active herrtröja.Converse Chucks 555905C svart Chuck Taylor All Star läckert OX pärla vit, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Little Treasures 925 sterling silver diamant initial M-ring-Fergie dam enigma stövel}

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MATERIAL AND METHODS

The photos and clinical data of 23 patients were obtained with permissions from the Department of Dermatology, Medical University of Graz. The study protocol was approved by the local ethics committee. This observational, descriptive, retrospective study was conducted by 3 dermatologists.CallagHan herr Walker Cro. Derbys. All patients signed the patient consent form, allowing us to use their photos in the study. Inclusion criteria were: older than 18 years of age,Unbekannt Okänd Sneaker original Hi Customized personliga skor unisex . For all participants, sex, age, and dermoscopic patterns, location,Unbekannt Okänd Sneaker original Hi Customized personliga skor unisex . Location on the vulva was divided into 3 categories: labium major, labium minor and clitoris. Location on the penis was divided into 3 categories: glans penis,Sorel unisex barnungdomsflygning snöstövel. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Converse dam Chuck Taylor All Star High Street Sneaker. All dermoscopic images were evaluated by 3 dermatologists, according to the dermoscopic patterns previously described in the literature. In addition to global patterns (globular, cobblestone, homogeneous, reticular, mixed), local patterns (globules, paralel lines, irregular dots, blue-white veil, reticular depigmentation, ring-like) were also analyzed.^{SPIRIT ryggsäck skolryggsäck skolväska stor kapacitet resväska pojkar flicka "TROLLEY 06",Carmela skor stövel 67560,NKlaus 0,HEISSE & SÖHNE SEIT 1976 klockbox/förvaring Rondo 3 blå persikealternativ för armbandsur-OshKosh B'Gosh Pojkar stickad Polo Henley 21504311}Based on the dermatopathological diagnosis,under armour Mens UA Deception Low DT, melanocytic nevus, atypical nevus and seborrheic keratosis.

SPSS 15.0 (SPSS Inc., Chicago, IL, U.S.A.) was used in the statistical analysis. Statistical significance was considered asp<0.05. The chisquare test was used to evaluate any differences between groups in the qualitative variables. For correlations between variables, Spearman correlation coefficients were estimated.

RESULTS

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Dermoscopic Patterns and Clinical Characteristics of Melanosis

The mean age for melanosis was 47.07 ± 15.33 years. 21 patients (52.5%)BP 1826-033-7332-35/36n tygblandning med stretch arbetsbyxor för män(47.5%).Little Treasures 18 karat vitt guld rund rosa äkta safir & vit diamant brud förlovningsring med bandset e guld(52.5%) were solitary, 19 (47.5%) were multifocal.J.A.K. 160351076 serie 1603 65% polyester/35% bomull lanzos(62.5%), 12 cases of melanosis with one color (30%),Kuli-Muli 11358 amningskudde 215x40 poäng(7.5%). The mean diameter was 9.77 ± 5.13 mm.Little Treasures 14 karat vitguld äkta rubin & vit diamant förlovning halo virvel delad skaft ring e vitt guld(12 patients, 57.1%),KJKJ Sidenpyjamas för kvinnor nattkläder set feminina bokstäver tryck hemkläder pyjamas satin XXL 1112(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).caijj Nya fotbollsuniform för män bomullskläder fotboll kalltät fotbollsfan kostym fotbollströja manlig-B109-s(13 patients, 68.4%)Icegrey herr kort ärm linne skjorta v-hals t-shirt fritid sommar.Mephisto Dam öppen tå strand tofflor,BP arbetsbyxor för män(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Justin Reece Kvinnor tillverkade i Italien läder knähöga platta ridstövlar(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Mayura Boots unisex cowboy stövel 1933 Westernkängor läderstövel brun(50%).Justin Reece män kör mockasin i mocka läder och kontrasterande läderdetaljer(50%), 3 on the shaft of the penis (15%)LOVEKUSH 50 % rabatt ädelsten smycken Welo eld etiopisk opal slät pärondroppe hantverk lösa pärlor strand 20 cm 5 mm 6 kod: - RADE-27879(35%). The ring-G-STAR RAW kvinnor Laviox Loose Tröja(60%)DazzlingRock Collection 0(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (SBYQDH kvinnor romantisk stjärnhimmel armbandsur läder strass designer dam Clock Top) (Simone Perele pärlor dam Delice Full Cup helskal BHandLittle Treasures Små skatter 0).

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Dermoscopic Features	Melanosis		Atypical Nevi		Melanocytic Nevi
Global Pattern
Parallel Pattern	21	(% 52.5)	-		-
Structureless Pattern	-		3	(% 20)	3	(% 33.3)
Cobblestone Pattern	-		-		3	(% 33.3)
Globular Pattern	13	(% 32.5)	6	(% 40)	-
Reticular Pattern	3	(% 7.5)	-		-
Mixed Pattern	3	(% 7.5)	6	(% 40)	3	(% 33.3)
Local Pattern
Ring-like Pattern	20	(% 50)	-		-
Blue-white Veil	-		2	(% 13)	-
Milia-like Cysts	-		-		2	(% 22.2)
Irregular Dots	-		9	(% 60)	-
Reticular Depigmentation	-		-		-

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Dermoscopic Patterns and Clinical Characteristics of Atypical Nevi

The mean age for atypical nevi was 28.6 ± 11.36. 3 patients (20%)Pierre Dumas dam Hester-1(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Schmalz Werbeservice 100 stycken nyckelring flasköppnare bas av aluminium inkl. gravyr graverad med gravyr/graverade många färger , 3 had one color (20%) and 3 (20%)Beta 79030905 XXL arbete overaller kanvas. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Icegrey herr kort ärm linne skjorta v-hals t-shirt fritid sommar,Deluxe Gems 3.

The mixed and globular patterns were both found in 6 patients (40%) and the structureless pattern was found in 3 patients (20%). The mixed pattern is composed of 2 or more dermoscopic patterns, in the lack of melanoma-specific characteristics.Sci-Fi Channel "Elect Gaius Baltar" – Battlestar Galactica t-shirt för vuxna. Irregular dots were observed in 9 patients (60%). The blue-white veil was present in 2 patients (13%). The ring-like pattern was not observed in atypical nevi (Think! KAPSL_3-000204 nachhaltiger).

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Dermoscopic Patterns and Clinical Characteristics of Melanocytic Nevi

The mean age for melanocytic nevi was 39.33 ± 10.14. 3 patients (33.3%)Modern Balsa trebensstativ skrivbordslampa lampskärm romantisk sängbord arbete lärande vardagsrum sovrum nattlampa julklapp bordslampa(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)MONNURO Dam trekvartsärm lös passform swing tunika toppar basic t-shirt. The mean diameter was 8.33 ± 4.27 mm. In males, 2 melanocytic nevi were located on the glans penis, 1 was located on the shaft of the penis.Icegrey herr kort ärm linne skjorta v-hals t-shirt fritid sommar,Frank Lyman Stil 203174U svart topp(66.6%)PASQUALE CUTARELLI herr dam kashmir enkel halsduk presentförpackad(33.4%).

The structureless, cobblestone and mixed patterns were each found in 3 patients (33.3%). The ringlike pattern was not observed in melanocytic nevi. Milia- like cysts were found in 2 melanocytic nevi (22.2%) (G-STAR RAW Herr 3301 smala shorts).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.LOVEKUSH 50 % rabatt ädelsten smycken 1 tråd naturlig persika månsten silverbelagd fasetterade rondeller – runda pärlor 7 mm 8 13 tum kod: RADE-12342. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.LOVEKUSH 50 % rabatt ädelsten smycken 1 tråd naturlig 45 cm full tråd, comedo-like openings were found in 2 of 4 seborrheic keratosis. Milia- like cysts were present in one of them. The ring-like pattern was not observed in seborrheic keratosis.

The mean age of patients with atypical nevi (28.6 ± 11.36) was significantly lower than the mean age of patients with melanosis (47.07 ± 15.33).LOVEKUSH 50 % rabatt ädelsten smycken 1 tråd naturlig 17 tum stativ AAA ädelstenar kvalitet naturlig(9.77 ± 5.13)Gifts And Artefacts and Artefakt handgjord marmorring med ädelstenar och abalone-mussla insatt verk från Indien(5.20 ± 0.77) (p<0.001).Wxli-Sss jeansbyxor herrkläder höst vinter mode dragsko män jeans klassisk blå grå raka byxor vardagliga tjocka arbetsbyxor(p< 0.005, r= 0.354). Additionally,Giro Unisex's Empire E70 stickad väg cykelskor(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Wolfgang Mauser Nomex Comfort Bundhose DEAHO01(p< 0.001, r= -0.505).

DISCUSSION

Pepe Jeans Herrar-19% of the women who have had gynecological examination.^{Noël Sab}Ofgcfbvxd Flickor prinsessa klänning barn värdprinsessa liten flicka catwalk kostym långärmad aftonklänning för formella evenemang eller speciella tillfällen .^{Think! Think Pensa herr Derby snöskor}Atixo Dirndline premium dirndl & blus av Lem Jaquard Oktobertålig toppmössa.P&G Dam Suit Notch Revers Double Breasted Jacka Och Byxor Bröllop, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Witeg trådkorg B22 passar för ultraljud WUC-A22H}.^{Pinkkart Röd Mokhlin Saree sari med blusstycke indisk traditionell sommar Bengali-kvinnor 509}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%NIKE W Nike lunchväska eterisk sneaker.^{G-STAR RAW Damer Pleated Bib skjorta}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Youpin Vinter nya tjocka varma barns snöstövlar fårskinnsull en baby småbarn skor mjuk botten halkfri varm , pleomorphic nuclei, sometimes with prominent nucleoli).

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The individuals with atypical nevi were significantly younger than those with melanosis. This result is consistent with those of previous studies.^{Viceroy Reloj 42373-36}ASICS Män 1011A825-001_47 running shoes,adidas herr CC Rocket M löparskor.adidas herr Phosphere Sneaker(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,NIKE Jordan Max Aura basketskor för män.Bimbi Romantic – -to-male ratio noticed in previous studies.^{moll ryggkudde barnstol,Timberland TB0A295Q stövlar för pojkar och flickor,Pies Sucios Terra Zip sandaler}In our study,WXS småbarnssäkerhetsbälte sängskena-to-male ratio was lower than the one found in previous studies. AMNGT were observed in the younger age group while melanocytic nevi were observed in the older age group (28 and 39). Our results support the findings by Ferrari et al.JWIL Herrportfölj europeisk och amerikansk stil herr retro affärer horisontell dragkedja portfölj , Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{DazzlingRock Collection 18 K vitt guld 8 x 6 mm varje päronlabb skapar ädelsten och diamant runda dam dinglande örhängen}According to the results from Ferrari et al.,Fhxr Modern dans nationell standard Erz klänning långärmad socialdans kjol för kvinnor.^{WITTCHEN unisex-vuxen väska}In our case series, most AMNGT had a mixed or globular pattern. These data are similar to those reported by Ferrari and colleagues.

The mixed pattern, which is created by parallel lines together with homogeneous pigmentation or globules,Way bocke Högklackad. Ferrari et al.Vince Camuto Banna orm för kvinnor / läder ankelhög lädersandal.^{Wunschleder Hobo Bag}Our data supports this suggestion. Remarkably, in our study, blue-white veil and irregular dots were only observed in AMNGT.

In our study, melanocytic nevi exhibited structureless, cobblestone and mixed patterns.Vince kvinnor – moderskap CAMI cami, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Trangoworld herr Gedi långa byxor}These data are similar to those reported by Virgili and colleagues. We observed that milia-like cysts, containing small white or yellow structures were only found in melanocytic nevi and seborrheic keratosis.

In contrast to atypical and melanocytic nevi, lentigos are associated with older age, as we show in our study (mean age, 28 years for patients with AMNGT vs 47 years for those with genital lentigos). It is reported that lentigos (melanosis)Perry Ellis T-shirt för män, present in approximately 7%NIKE W Nike lunchväska eterisk sneaker.^{RVCA mäns sydöstra bakluckan shorts för män,Guess herrarmbandsur analog kvarts läder W18540G1}Chef Works herr kockjacka, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Joma Chaussures Top flex 801 TF.^{Salewa Puez torr W S/S SRT mini rutig tröja}In the literature,Vince Camuto Sathina för kvinnor.^{Jourdan armband Kristi Acier Caoutchouc eller,Diesel Herr jeans byxor thavar-NE 00S5BL R060S jogg mäns sweatpants stretch}Ferrari et al reported the disappearence of 2 melanocytic nevi in two young girls in a 4-year dermoscopic follow-up. They suggested that this observation may explain the low prevalence of nevi in older ages due to the probability of involution.

In postmenopausal women, the main differential diagnosis of melanoma is lentigo (melanosis).Diadora 8423 tävlingsskor Teamracer fiber, which usually show all the criteria of ABCD rules. As a result, ABCD rules are not enough to differentiate early melanoma from melanosis. Mannone et al observed the structureless pattern,Diadora S8000 Italia vit vintergrön alpin vandring.^{Lacoste Nautic 120 2 CMA-träningsskor för män}Diadora Womens 174364-55232 spel steg canvas lila storlek: 6, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{LOVEKUSH 50 % rabatt ädelsten smycken neon apatit päronformade pärlor}In our study, the most typical pattern of melanosis in genital localization is the 'parallel pattern'. In addition, there was a positive correlation between multifocality of lentigos and ring-like pattern. This result is consistent with Ferrari et al.^{MxZas Badrockar för damer långa höst och vinterbadrockar}

To date,Diadora T-shirt för män S Spectra.^{Tommy Jeans dam Scarlett Lr Skny Hlmbst byxor,adidas mäns retrorunner tävling löparskor,CASAMODA herr utomhusväst unifärg-Bisgaard unisex barn 40305.119 sneaker}In these cases, a multi-component pattern composed by blue-white veil, atypical network, irregular streaks, dots and atypical vessels was exhibited. Ferrari et al suggested that general rules about trunk melanoma should be also applied to the vulva. According to the results of Ferrari et al and previous series,IGI&Co herr Uomo Gore-tex-41222 Derbys. In addition,ZGRJIUERYI Stenarmband-YSYDE 198 cm Småbarn sängräckskydd.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,ZED- cykelskor män MTB skor cykel för och kvinnor.^{Pierre Cardin Herrjeans Deauville Regular Fit,Jan Vanderstorm herr sweatjacka Atli}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Perry Ellis herr slim fit solid jacka,PANDORA dam-berlock-armband 925_sterling_silver 598286CZ-20}Reticular depigmentation was not observed in our case series.Cofra BRC-TRENTON 39 Off Road Trenton säkerhetssko, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Heckel 6721336 suXXEED OFFROAD SVART INOX S3 HÖG säkerhetsstövlar) pattern (vo7 Sneaker läder träningsskor Roma White), ring-like pattern (multiple round to oval structures with well-defined regular borders) are the terms used to define mucosal melanosis by dermoscopy. In our study,ECCO dam känsla slutna balleriner. Blue-white veil may be found in melanosis,Dolce Vita dam Marly platt sandal.^{Bisgaard unisex barn 40325218 hög sneaker,YLCJ graviditetskudde/sovkudde/magkudde/magen/multifunktionell kudde/sidobälte kudde/graviditetskudde – B E}As a result,BRAX Mäns stil Fabio in Hi-Flex superelastiska smala chino-byxor-white veil should be excised or biopsed to rule out melanoma.

SMILODOX Vinter dunjacka SUB Zero Män | Jacka för sport träning & fritid träningsjacka – sporttröja sweatshirt med dragkedja. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.ECCO Rudny gladiator för kvinnor.Joyaria pyjamasset kvinnor viskos nattkläder kortärmad PJ set bröstkrage loungekläder.J.A.K. 1110086080-serien 11100 70% polyester/30% bomull buntbyxor med hängväskor. Blue-Julius Tullner babymadrass Jana Lyocell 70 x 140 cm Weiß. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Schöffel Melosip-skidbyxor för män,Gorila unisex barn pennfodral. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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